Bronwyn Jest

B Phty Post Grad Cert Phty (Pelvic Floor Phty) APAM MCSP

Bronwyn is a Physiotherapist with Post Graduate qualifications and advanced training in Continence and Pelvic Floor Rehabilitation.

Her clinical focus is:

To promote pelvic health for women and men.
To provide evidence based education, assessment and treatment for people living with incontinence or other pelvic floor dysfunction.

Bronwyn provides management for all areas of pelvic health in a private and caring setting. Her practice is based in Chermside in north Brisbane.

Her pelvic floor rehabilitation programmes are structured to meet each person’s needs. Management involves personalised advice and instruction based on individual assessment findings.

WHAT DO WE TREAT?

Bladder issues: stress and urgency incontinence
Pelvic organ prolapse
Bowel issues: constipation, urgency and incontinence
Sexual Dysfunction and Pelvic Pain
Guidance for pelvic floor safe exercising

Problems during pregnancy and after childbirth
Before and rehabilitation after gynaecological and other pelvic surgery including for the bowel
- Already had surgery and want to prevent any future problems
- Planning surgery and want to prepare for it
Before and rehabilitation after prostate surgery
- Pelvic floor muscle exercises before and after surgery

SIGNS OF A PROBLEM

The following problems respond well to treatment by a physiotherapist with a special interest in pelvic health:

BLADDER
- Leakage of urine with exertion – cough/sneeze/laugh
- Going to the toilet urgently
- Finding it difficult to control your bladder on the way to the toilet
- Unusually frequent visits to the toilet
- Waking up to go to the toilet frequently during the night
- Straining to empty your bladder
BOWEL
- Soiling or accidents from the bowel
- Difficulty emptying your bowel
- Straining to empty your bowel
- Constipation
- IBS symptoms

PREGNANCY & CHILDBIRTH
Pregnancy and after childbirth issues including:
- Pregnancy related pelvic pain
- Sacroiliac and pubic symphysis dysfunction
- Separation of the abdominal muscles: rectus diastasis
- Weak pelvic floor muscles
- Advice on return to exercise
PELVIC ORGAN PROLAPSE
- Feeling heaviness or dragging in the low abdomen or aching in the low back
- Feeling a lump or bulge in the vagina
PROSTATE PROBLEMS
- Incomplete bladder emptying
- Leakage of urine post surgery

MUSCLE RELATED SEXUAL DIFFICULTIES
- Dyspareunia
- Vaginismus
PELVIC PAIN DISORDERS
- Pain in the pelvic area including vulvodynia
PELVIC FLOOR MUSCLE LAXITY
- Inability to wear tampons
- Decreased sensation during sex
PELVIC FLOOR MUSCLE EXERCISING
- Have you tried to do pelvic floor exercises at the gym or read about them on the internet and you’re just not sure if you are doing them correctly

What is involved in Pelvic Floor Rehabilitation?

Treatment includes a thorough assessment and education about the specific condition relevant to the individual. Management strategies involve a personalised programme based on the assessment findings. Each person’s progress is regularly monitored and their pelvic floor rehabilitation programme adjusted as needed.

Find out what to expect at an appointment

Bladder and Bowel health problems are common and can be managed

Most people never give a second thought to their bladder and bowel function. But for the more that 4.8 million Australians who suffer with incontinence, bladder and bowel function impacts greatly on their quality of life. These problems won’t improve on their own. They can be treated, managed and in most cases resolved. Incontinence is not a condition to be embarrassed about: it is a very common problem. But it is not something you have to ‘just put up with’! Often specific pelvic health physiotherapy is all that is needed to manage and resolve continence and pelvic floor concerns.